| NPI | 1194968586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 174235) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A123497) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-12-30 |