| NPI | 1376772467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 18820) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 390200000X) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2025-08-27 |