| NPI | 1619593126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A183552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 8900) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-10-25 |