| NPI | 1427287580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C148732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301100024) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2017-10-12 |