| NPI | 1982660965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2012018824) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A65525) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-12-13 |