| NPI | 1235329194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NV 9612) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G72275) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2020-05-06 |