| NPI | 1851918718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20659) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116034137) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-12-12 |