| NPI | 1831650993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A19435) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID O1652) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-06-20 |