| NPI | 1871632893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12659) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 06R2006) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-02-21 |