| NPI | 1629554936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA NP95009300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA NPF95009300) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-11-01 |