| NPI | 1285888420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 005871) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102203566) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2021-12-31 |