| NPI | 1487274825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 1937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 1937) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2022-04-05 |