| NPI | 1851022909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD70041896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A-189536) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-11-06 |