| NPI | 1538107511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E3256) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C172750) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2025-11-11 |