| NPI | 1033311238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME99586) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 245726) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-06-17 |