| NPI | 1881088870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A166042) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101272288) |
| 207Q00000X Family Medicine (Licence: NY 294849) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-04-15 |