| NPI | 1033592563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.1706) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 4158) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-06-18 |