| NPI | 1316125198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A103222) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301090925) |
| 207Q00000X Family Medicine (Licence: CA A103222) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2013-07-31 |