| NPI | 1861805756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A166467) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2026-05-14 |