| NPI | 1881628824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G55457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G55457) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-10-19 |