| NPI | 1225253826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 47529) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 52824) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-04-23 |