| NPI | 1396842001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C54363) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD20060465) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2011-03-10 |