| NPI | 1740243377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME77430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 23590) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-04-22 |