| NPI | 1841938677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A203310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN35106) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2026-05-26 |