| NPI | 1194104729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0086036) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102204747) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-10-09 |