| NPI | 1003869686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO210001812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9996) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-09-26 |