| NPI | 1508308420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A15031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 92619) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2024-11-22 |