| NPI | 1467417832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A97405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101231560) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |