| NPI | 1831758259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A196945) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD478359) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-12-09 |