| NPI | 1417924804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A96123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME90512) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2014-08-25 |