| NPI | 1528288990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301063957) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A63309) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-06-09 |