| NPI | 1265528673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21947) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A67245) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-10-24 |