| NPI | 1033267182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID MC0953) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI EM082598) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-04-15 |