| NPI | 1841752342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 72327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A181349) |
| 208D00000X General Practice (Licence: AZ 72327) | |
| 208D00000X General Practice (Licence: CA A181349) | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-02-15 |