| NPI | 1083785257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A93617) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME108025) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2014-01-22 |