| NPI | 1255658126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 53169) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD206410) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2024-05-14 |