| NPI | 1598969057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND TRL10612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A113839) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-08-02 |