| NPI | 1891937017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A10211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA CA20A10211) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2015-04-16 |