| NPI | 1275170342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A21293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PTL2170) |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2024-10-01 |