| NPI | 1336121813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A063431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR38126) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-07-31 |