| NPI | 1205363603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C200105) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60989129) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2025-10-06 |