| NPI | 1760001945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A199539) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD217882) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-04-22 |