| NPI | 1144391970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G037147) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA G037147) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-12-17 |