| NPI | 1518953785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 053522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 53522) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-06-06 |