| NPI | 1598803306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD 13746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A94810) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-03-07 |