| NPI | 1528529161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 169372) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-09-02 |