| NPI | 1285925602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-0807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5260) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2016-12-27 |