| NPI | 1013081199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 25971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2003008011) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-07-21 |