| NPI | 1295362192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A195818) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 1014716) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-09-18 |