| NPI | 1215907233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C55329) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD24599) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-09-11 |