| NPI | 1639161102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA GA029884) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 029884) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2016-11-16 |