| NPI | 1467449173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 13983) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 38667) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-04-08 |