| NPI | 1750361135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 19481) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2016-09-12 |