| NPI | 1467413013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD20723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 028818) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2013-10-08 |