| NPI | 1992945240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A115333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60170842) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2017-03-28 |