| NPI | 1982224978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2025032848) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A187183) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2025-09-25 |