| NPI | 1831324656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A119592) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT195167) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2013-11-13 |