| NPI | 1124694807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23591) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT020857) |
| 207Q00000X Family Medicine (Licence: PA OS023150) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-02-06 |