| NPI | 1083893689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GU M-1992) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A112424) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2016-09-03 |