| NPI | 1427289115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2006014139) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-34535) |
| 207Q00000X Family Medicine (Licence: IA 38911) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-09-01 |