| NPI | 1851618474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: HI 16086) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A110511) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2011-07-06 |