| NPI | 1184003477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 29519) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7398) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2018-07-11 |