| NPI | 1265578793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20A10442) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR43802) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-07-16 |