| NPI | 1831152537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD11970) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A33367) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2010-03-17 |