| NPI | 1285839670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2010-01082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC NC2010-01082) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-11-03 |