| NPI | 1245334408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D0067576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101240541) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2021-09-29 |