| NPI | 1235386111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD29200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR LL17601) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2022-02-10 |