| NPI | 1548510282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 6023) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 014818) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-07-17 |