| NPI | 1194953539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A126298) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM RS2009-0406) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2013-12-23 |