| NPI | 1497196281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61325105) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A14361) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2025-06-20 |