| NPI | 1194969048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 9187A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A113139) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2018-03-17 |