| NPI | 1225564172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C202986) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 306421) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-09-22 |