| NPI | 1316259724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A145189) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 16109) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2016-10-26 |