| NPI | 1265006043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A201294) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301512911) |
| 207Q00000X Family Medicine (Licence: FL ME170964) | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2025-03-26 |