| NPI | 1114248242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A117574) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A117547) | |
| 208D00000X General Practice (Licence: CA A117574) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2013-04-29 |