| NPI | 1417147422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 13746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C20009495) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2022-02-11 |