| NPI | 1134120215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0008476) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS009871L) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-08-12 |