| NPI | 1316929615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G77362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA GO77362) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2014-10-01 |