| NPI | 1033160031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD28171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 36422) |
| Enumeration Date | 2006-05-14 |
| Last Update Date | 2010-10-18 |