| NPI | 1245433572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO034874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116018418) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-06-22 |