| NPI | 1245264530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C41580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C41580) |
| 207R00000X Internal Medicine (Licence: WA MD00046332) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-03-31 |