| NPI | 1952667115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C195036) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD456312) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2024-08-07 |