| NPI | 1205084506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0074806) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD202449) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2021-06-24 |