| NPI | 1346379393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 13462) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a80497) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-08-08 |