| NPI | 1508308420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A15031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 22710) |
| 207Q00000X Family Medicine (Licence: SC 92619) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2025-12-23 |