| NPI | 1447329495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 201001898) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 28352) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-06-23 |