| NPI | 1427166107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 22431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G35890) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-07-20 |