| NPI | 1144255217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20a9074) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00002107) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-09-20 |