| NPI | 1952301020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G84706) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D40733) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2016-07-01 |