| NPI | 1134166184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 01898) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 223184) |
| 207Q00000X Family Medicine (Licence: CA 89646) | |
| 207Q00000X Family Medicine (Licence: IA 37992) | |
| 207Q00000X Family Medicine (Licence: NE 24762) | |
| 207Q00000X Family Medicine (Licence: NY 219226) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-10-27 |