| NPI | 1265698922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 75091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS015547) |
| 207Q00000X Family Medicine (Licence: AL DO.1225) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2018-03-27 |