| NPI | 1922504307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A182731) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2019-02902) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-10-10 |