| NPI | 1942882139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A-192315) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116034984) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-08-13 |