| NPI | 1992813216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200400092) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 229161) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2013-07-23 |