| NPI | 1780319327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A202257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT227340) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-07-11 |