| NPI | 1720783970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A204844) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A204844) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2026-07-16 |