| NPI | 1275547499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200000617) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS009537L) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-05-31 |