| NPI | 1942563150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME144989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A131843) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-02-12 |