| NPI | 1073550224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G73432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215507) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-03-03 |