| NPI | 1265844989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.34693) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L4006R) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-07-21 |