| NPI | 1043284813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C56032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C056032) |
| 207Q00000X Family Medicine (Licence: MA 203882) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2018-06-13 |