| NPI | 1588631741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0005723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0054812) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-09-09 |