| NPI | 1235208018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2000-00471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200000471) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-09-29 |