| NPI | 1922114271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301056168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI Bh056168) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-12-29 |