| NPI | 1275505984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 34117-020) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: WI 34117-020) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-07-08 |