| NPI | 1215961354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A84680) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 11005) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2026-06-17 |