| NPI | 1790760171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3742) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E 3442) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2008-05-20 |