| NPI | 1841277837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A 9102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 45879) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-03-28 |