| NPI | 1033283965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME101516) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 101516) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-07-15 |