| NPI | 1154437010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 212652) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: GA 019907) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-11-17 |