| NPI | 1174635536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0066169) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 038773) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-01-15 |