| NPI | 1083999031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A118514) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A118514) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |