| NPI | 1407116007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 123206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 21478) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2025-10-21 |