| NPI | 1457526295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 46509) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A71582) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2023-01-04 |