| NPI | 1659833473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A21976) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61429371) |
| 207Q00000X Family Medicine (Licence: IL 125.073902) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-03-20 |