| NPI | 1811952328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A85641) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 38816) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-02-10 |