| NPI | 1376906438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME151011) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A161551) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-09-11 |