| NPI | 1487210373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A176816) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61275561) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-04-12 |