| NPI | 1538177886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 47326) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 41108) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-04-09 |