| NPI | 1881116184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A169362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7969) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2020-09-02 |