| NPI | 1275723793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011324) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 430109688) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-08-25 |