| NPI | 1669421038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 53808) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a96264) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-09-23 |