| NPI | 1881636595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D68398) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A70364) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-09-20 |