| NPI | 1013187293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 064783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.33703) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2023-03-07 |