| NPI | 1154908812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A25928) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-17767) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-08-31 |