| NPI | 1174534770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME82524) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 82524) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-12-17 |