| NPI | 1518077452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G70448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G704480) |
| 207Q00000X Family Medicine (Licence: WA MD60222866) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-03-23 |