| NPI | 1437368487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 11819) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OR LL16043) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-03-28 |