| NPI | 1043398613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2014-00719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A94402) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2026-04-23 |