| NPI | 1265069041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A181532) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A181532) |
| 207Q00000X Family Medicine (Licence: CA FT1779428) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-01-03 |