| NPI | 1588817803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 1838) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8737) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2016-10-29 |