| NPI | 1932344199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD153563) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR LL17978) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2012-10-15 |