| NPI | 1588229710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A197891) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 280461) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-05-21 |