| NPI | 1609027390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO1500) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2016-02-19 |