| NPI | 1427020437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200800369) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS010068L) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2010-12-28 |