| NPI | 1952428682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101240408) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101240408) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-08-15 |