| NPI | 1760174403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 1760174403) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA 1760174403) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2026-08-04 |