| NPI | 1205872827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 55574) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 25355) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-05-18 |