| NPI | 1396157699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2015014065) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A128406) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2015-10-06 |