| NPI | 1760558332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A88603) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD226328) |
| 207Q00000X Family Medicine (Licence: WA MD70009596) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2026-06-10 |