| NPI | 1558091231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A204415) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT227176) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-08-27 |