| NPI | 1285028233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0012699) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0100503) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2024-06-25 |