| NPI | 1245299098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME90864) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A90434) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2021-04-05 |