| NPI | 1851526891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 25270) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML 20009150) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2011-02-25 |