| NPI | 1225325293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 33770) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL33770) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-11-17 |