| NPI | 1154582047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 37543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME110236) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-05-03 |