| NPI | 1689736423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD11899) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME81285) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-03-10 |