| NPI | 1255779054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-04675) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 6974) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-02-19 |