| NPI | 1275756330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MI 4301111189) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A85954) |
| 207Q00000X Family Medicine (Licence: MI 4301111189) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-03-15 |