| NPI | 1225340268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A133046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME111791) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2022-07-21 |