| NPI | 1548274996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A80879) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A80879) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2026-05-23 |