| NPI | 1336292994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A48096) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A48096) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-04-03 |