| NPI | 1902817182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A105868) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01065551A) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-01-25 |