| NPI | 1134232432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2016-0167) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 13451) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-07-20 |