| NPI | 1427510866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: CA A181029) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A181029) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-08-01 |