| NPI | 1033382197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.203817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L.2898R) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2013-01-16 |