| NPI | 1245341460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A87111) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 33039) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-21 |