| NPI | 1134190473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 80360) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 80360) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-05-16 |