| NPI | 1902198971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60338582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A111554) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2023-10-27 |