| NPI | 1477870715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 32369) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL32369) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-05-30 |