| NPI | 1205888922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G77794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME123184) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-01-03 |