| NPI | 1770160996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A195441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A195441) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-10-30 |