| NPI | 1629029996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G35393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G58593) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-09-13 |