| NPI | 1962573964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C193631) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00039993) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-02-27 |