| NPI | 1316904121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0062851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0007295) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-05-05 |