| NPI | 1013044833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 50520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101016029) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-03-21 |