| NPI | 1871638080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A119527) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC0710002) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-01-04 |