| NPI | 1134141393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102207756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13620) |
| 207Q00000X Family Medicine (Licence: MN 42990) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-05-03 |