| NPI | 1316097751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C53943) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD29453) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-08-02 |