| NPI | 1518160100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 12397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301090077) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2010-07-28 |