| NPI | 1093989097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0068193) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101264272) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-03-09 |