| NPI | 1932125135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA a88960) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A88960) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A88960) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-03-25 |