| NPI | 1376652347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 81-93) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 045891) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-03-22 |