| NPI | 1518901354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA a048669) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX g8961) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-02-19 |