| NPI | 1346206430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 1151) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 5797) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-03-19 |