| NPI | 1033474184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 96679) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME111325) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-09-06 |