| NPI | 1093195976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C187601) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2017-1056) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-07-07 |