| NPI | 1699753921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 56924) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 056924) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2012-04-26 |