| NPI | 1962026435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A21044) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI DOSR-504) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-02-04 |