| NPI | 1164421814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A91907) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0006360) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2015-06-25 |