| NPI | 1386203339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-16803) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A181004) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2025-12-03 |