| NPI | 1144453804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A114426) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2012-02103) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2018-03-26 |