| NPI | 1669811055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A14674) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2271) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-08-09 |