| NPI | 1295092484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C-179107) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2013-01880) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2026-10-12 |