| NPI | 1447887716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A194471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61332877) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-07-15 |