| NPI | 1013202563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.33021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 23568) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2021-04-30 |