| NPI | 1073677316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 57980) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 057980) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-04-18 |