| NPI | 1528059276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A77198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD 13473) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-03-22 |