| NPI | 1144426354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101243821) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116018997) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-06-09 |