| NPI | 1649776352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A178999) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD474034) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-09-07 |