| NPI | 1437345329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 38884) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 28242) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2015-07-16 |