| NPI | 1578977336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18772) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101021134) |
| 207Q00000X Family Medicine (Licence: MI 5101021134) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2026-01-18 |