| NPI | 1346355237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 16452) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 33542) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-09-04 |