| NPI | 1952980336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 200826) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 58543) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-05-09 |