| NPI | 1881256568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A181057) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 8558) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-10-13 |