| NPI | 1366184418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A202581) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME169282) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2025-07-03 |