| NPI | 1821668898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 23260) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2021024079) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-11-07 |