| NPI | 1770724296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 249335) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A106849) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2012-12-28 |