| NPI | 1083706337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0068458) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C10007760) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-11-08 |