| NPI | 1588668065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A60372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A60372) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-08-16 |