| NPI | 1336467380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 138015) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD d007107) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-08-03 |