| NPI | 1174759849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD157668) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR LL18426) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2020-10-13 |