| NPI | 1588747430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-6840) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G88854) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-06-17 |