| NPI | 1134148562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A067105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A067105) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-01-12 |