| NPI | 1780181289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A173585) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 173585) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-04-02 |