| NPI | 1225235112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-01257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 141069) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2015-07-08 |