| NPI | 1154332047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A55790) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60467089) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-04-17 |