| NPI | 1053940106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023041817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A184467) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-01-23 |