| NPI | 1285011866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 86656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 28075) |
| 207Q00000X Family Medicine (Licence: AL 41441) | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2023-06-08 |