| NPI | 1013957802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M7796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD174985) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-02-08 |