| NPI | 1962648659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 20A11353) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS10563) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2015-10-20 |