| NPI | 1043392186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C53794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 12685R) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-06-05 |