| NPI | 1508285933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042.0017082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A153100) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-09-20 |