| NPI | 1831490820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A10885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 15755a) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2025-12-11 |