| NPI | 1699702472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R8G73) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 16872) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2016-09-21 |