| NPI | 1427141167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-00530) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 30498) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-02-12 |