| NPI | 1124277934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A86481) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 238409) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2021-06-14 |