| NPI | 1730388679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD D55423) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G64971) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-10-08 |