| NPI | 1346290053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0013123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0056327) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-05-13 |