| NPI | 1326124447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A75962) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A75962) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |