| NPI | 1275769275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 2462) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102206565) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2024-12-18 |