| NPI | 1659991933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A21190) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 7451) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-10-20 |