| NPI | 1932365665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO MOR8399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R8E99) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2013-09-19 |