| NPI | 1851656029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G12835) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G12836) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2013-05-31 |