| NPI | 1750030037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 012185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A22985) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2026-03-17 |