| NPI | 1184673279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 55223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A68511) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-10-10 |