| NPI | 1851334767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 052739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 00026689) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-01-30 |