| NPI | 1215269873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301088338) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301088338) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2020-06-11 |