| NPI | 1912393273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A151771) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A151771) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-10-26 |