| NPI | 1346318607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107669) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A86386) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2011-05-13 |