| NPI | 1386272391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A178227) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD214644) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2026-06-01 |