| NPI | 1841855525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 290867) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 187166) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-08-17 |