| NPI | 1336189091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C144613) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD0000036548) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-04-12 |