| NPI | 1174841894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101253538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC FC0583559-3870) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2023-08-10 |