| NPI | 1194013813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 49060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R72790) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2025-03-26 |