| NPI | 1891145462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A165138) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61327688) |
| 207Q00000X Family Medicine (Licence: OR MD212746) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-05-01 |