| NPI | 1417197617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A109571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 187980) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2015-07-22 |