| NPI | 1114014263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A10872) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP000016287) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2014-09-04 |