| NPI | 1285658609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-4047) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 24914) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |