| NPI | 1548810278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A186782) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV LL3509) |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2024-02-01 |