| NPI | 1437327905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.204059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA GETP.EBR.FP) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2010-12-06 |