| NPI | 1043431208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS20673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5877) |
| 207Q00000X Family Medicine (Licence: AR E10194) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-02-07 |