| NPI | 1740383710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A88511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD151908) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-04-21 |