| NPI | 1144243619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-10476) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 228084) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-11-28 |