| NPI | 1740408012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A109702) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ A47747) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-09-01 |