| NPI | 1396902409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 7022) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 22412) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-11-16 |