| NPI | 1891037081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A143813) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-9181) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-07-17 |