| NPI | 1871882266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 11698) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2025-06-12 |