| NPI | 1306423694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61623177) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A18020) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-04-03 |