| NPI | 1063640241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 126211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME121223) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2024-06-24 |