| NPI | 1265630248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102202640) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS021490) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-09-15 |