| NPI | 1952509457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-10576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MR-0938) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2015-04-17 |