| NPI | 1568818227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A16538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60667680) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2023-08-22 |