| NPI | 1801275987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A154137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT208146) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2021-12-17 |