| NPI | 1255894127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23482) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61289444) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-03-11 |