| NPI | 1144317744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 10977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD RL-0450) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-11-29 |