| NPI | 1124313911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD25927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A122955) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2025-04-02 |