| NPI | 1770554651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A055528) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A55528) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-03-09 |