| NPI | 1679036875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A176856) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME156583) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2026-06-22 |