| NPI | 1548271257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI LS008003) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-07-13 |