| NPI | 1245246412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A108994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185618) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-12-06 |