| NPI | 1881040236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A161517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN22911) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-08-18 |