| NPI | 1891710844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 017886) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D64142) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-12-19 |