| NPI | 1255528972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC DO034225) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-11-08 |