| NPI | 1427026004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 19102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 29031) |
| 207Q00000X Family Medicine (Licence: NE 21650) | |
| 207Q00000X Family Medicine (Licence: TX H4507) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |