| NPI | 1700103421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 272078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A124873) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2022-09-09 |