| NPI | 1740212737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 16435) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 18897) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-09-22 |