| NPI | 1457678880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11956) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 3264) |
| 207Q00000X Family Medicine (Licence: VA 0102204379) | |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2025-02-04 |