| NPI | 1336300433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 31043) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL31005) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2011-08-25 |