| NPI | 1669549572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME161564) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A81477) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-09-13 |