| NPI | 1346535549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A131291) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-4020) |
| 207Q00000X Family Medicine (Licence: CO 53008) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2015-07-09 |