| NPI | 1013145457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A122443) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM RS2009-0403) |
| 207Q00000X Family Medicine (Licence: NM MD2011-0786) | |
| 207Q00000X Family Medicine (Licence: FL ME114281) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2014-02-21 |