| NPI | 1245711449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A185261) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD227176) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2025-09-22 |