| NPI | 1326509415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA Ot019164) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-08-17 |