| NPI | 1619116548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME105828) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: FL ME105828) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2013-03-29 |