| NPI | 1821216581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C43359) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA C43359) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |