| NPI | 1851854293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 2255) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A21014) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-10-17 |