| NPI | 1245258516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D55315) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0005439) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-03-05 |