| NPI | 1205003670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS015267) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-02-04 |