| NPI | 1033992292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 17042) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT229876) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-11-12 |