| NPI | 1114112331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-01553) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A96387) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2015-02-11 |