| NPI | 1649227216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A68332) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A068332) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-06-28 |