| NPI | 1417104282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A112838) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME135016) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-02-06 |