| NPI | 1366454076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 246529) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI RM086755) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-11-30 |