| NPI | 1427240928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 15735) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301090731) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2016-02-23 |