| NPI | 1326098302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0054397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G59301) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-07-23 |