| NPI | 1417094277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11320) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A11320) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-08-31 |