| NPI | 1316973167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 44991) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WI 44991-020) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-01-09 |