| NPI | 1184983157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101257697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116024367) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2024-01-17 |