| NPI | 1497846638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CA A036979) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A036979) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-02-19 |