| NPI | 1780251157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A197883) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A197883) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2024-11-15 |