| NPI | 1700965837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD222849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A96751) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-11-13 |