| NPI | 1861483463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0008976) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME94394) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2009-05-15 |