| NPI | 1730277054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0020415) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0020415) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-10-24 |