| NPI | 1750872214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO214243) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2026-02-04 |