| NPI | 1134208523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 3532) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8870) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2008-02-12 |