| NPI | 1073774295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-02046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 31000) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-09-11 |