| NPI | 1013127554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A113642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301087928) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-08-22 |