| NPI | 1033420252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A126876) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-2119) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2021-12-17 |