| NPI | 1154857480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20486) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 6504) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2024-07-03 |