| NPI | 1386955441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD164725) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-1124) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2013-09-26 |