| NPI | 1033273784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD126217) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9701776) |
| 207Q00000X Family Medicine (Licence: AL 23983) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-10-02 |