| NPI | 1821138231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-5038) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-09-18 |