| NPI | 1114459807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A193601) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME140080) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-06-03 |