| NPI | 1437252566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 5574) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A84007) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-02-26 |