| NPI | 1144247099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 20333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9300562) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-07-08 |