| NPI | 1942324397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A95465) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-06-23 |