| NPI | 1003301417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A19314) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS021083) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-09-12 |