| NPI | 1013115112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101246499) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116019120) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-03-25 |