| NPI | 1235104795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 28499) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: SC 28499) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-12-04 |