| NPI | 1760877302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A15204) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 20A15204) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2023-03-07 |