| NPI | 1811513617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A193933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA ETLL-1098) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-08-02 |