| NPI | 1598953853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR md27856) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA AO63505) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |