| NPI | 1457378309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 22650) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2006-00615) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-11-09 |