| NPI | 1306958699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 005319) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9613) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-05-15 |