| NPI | 1437306313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A121649) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD150828) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2013-05-28 |