| NPI | 1467517730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-00314) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0008151) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2018-03-17 |