| NPI | 1184038895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A150788) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R74638) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2017-10-26 |