| NPI | 1346537560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-04329) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R9248) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2015-02-27 |