| NPI | 1306080536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301094783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI AR094783) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2018-03-20 |