| NPI | 1386696466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G71918) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G071918) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-05-25 |