| NPI | 1528201779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C178283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2012-01828) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-10-24 |