| NPI | 1477274215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 95020466) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA 95020466) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA 95020466) | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |