| NPI | 1639800279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A68026) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0068652) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-05-22 |