| NPI | 1528685997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20641) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T4134) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-11-30 |