| NPI | 1841603537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A17679) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO2796) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-11-11 |