| NPI | 1306006432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 066106) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC MD30829) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-08-29 |