| NPI | 1841422599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A109054) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD605039852) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2018-03-17 |