| NPI | 1437196953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 110869) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-7835) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-06-18 |