| NPI | 1265694491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 068717) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL30788) |
| 207Q00000X Family Medicine (Licence: SC 30788) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-03-10 |