| NPI | 1134341019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 27761) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 20694) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-01-31 |