| NPI | 1134433717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C174376) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 274699) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2024-12-12 |