| NPI | 1720647381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 181815) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 161358) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-05-20 |