| NPI | 1053406488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-7614) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M7614) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-07-21 |