| NPI | 1922129683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 061420) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC TL31805) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-04-27 |