| NPI | 1467434811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G41532) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA SA13219) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2009-05-26 |