| NPI | 1730167867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 14620) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93696) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-18 |