| NPI | 1528196227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-00736) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9863) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-03-30 |