| NPI | 1033557574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A14873) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101020676) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-01-21 |