| NPI | 1427283035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011879) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD13958) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2016-11-04 |