| NPI | 1154584829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A115514) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5315037548) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2018-10-23 |