| NPI | 1801024948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A133530) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116021853) |
| Enumeration Date | 2009-06-27 |
| Last Update Date | 2025-04-22 |