| NPI | 1790782191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G48377) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CA G483377) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-01-04 |