| NPI | 1942283700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8830) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02002820A) |
| Enumeration Date | 2005-11-26 |
| Last Update Date | 2007-09-05 |