| NPI | 1457587602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2015041241) |
| 207Q00000X Family Medicine (Licence: KS 05-37491) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20A20448) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2025-01-03 |