| NPI | 1841426186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2013-0568) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.204511) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2013-07-24 |