| NPI | 1710174693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A69030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200500009) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-06-14 |