| NPI | 1326056714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 13634) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 5754) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-03-16 |