| NPI | 1396056396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 27343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 6228) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-09-18 |