| NPI | 1902131048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A110321) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA pending) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-02-08 |