| NPI | 1821329129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 44328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A110169) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2021-08-16 |