| NPI | 1538320767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C147613) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 107774) |
| 208D00000X General Practice (Licence: FL ME 107774) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-09-11 |