| NPI | 1841723517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A169494) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 66629) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-10-30 |