| NPI | 1235311788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2014-0131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 270955) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2023-09-25 |