| NPI | 1831174150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G67497) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G67497) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2008-05-09 |