| NPI | 1861786477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 27866) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 6476) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2017-06-16 |