| NPI | 1578992285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME153793) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A133751) |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2022-02-07 |