| NPI | 1003045220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A127661) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 003654) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2014-04-02 |