| NPI | 1508926429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 13389) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: LA 13389) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-07-08 |