| NPI | 1275578882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 6403) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G58900) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-08-18 |