| NPI | 1073085601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 191302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 22767) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2024-01-13 |