| NPI | 1932195559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 33283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0007282) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-04-03 |