| NPI | 1336244896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C173044) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 029768) |
| 207Q00000X Family Medicine (Licence: MT 55289) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-08-04 |