| NPI | 1235485426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 13725) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL12367) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2024-02-02 |