| NPI | 1992124309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A16802) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101021433) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-10-21 |