| NPI | 1245297076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 57037) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME57037) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-03-03 |