| NPI | 1447241856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 30553) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 053762) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-11-15 |