| NPI | 1245525070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD33726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL33726) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-10-21 |