| NPI | 1023185915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A76589) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-05-07 |