| NPI | 1003866435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 53382) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 41931) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-08-03 |