| NPI | 1932342433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2012009711) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-35891) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-03-07 |