| NPI | 1831779685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A183853) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME173442) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-06-23 |