| NPI | 1043432669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A94064) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A94064) |
| 208D00000X General Practice (Licence: CA A94064) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-07-17 |