| NPI | 1437373834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2008031582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL9997) |
| 207Q00000X Family Medicine (Licence: MI 4301092542) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-03-22 |