| NPI | 1295153906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 71265) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME146970) |
| 207Q00000X Family Medicine (Licence: MI 4301104942) | |
| 207Q00000X Family Medicine (Licence: VA 0101273845) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-08-30 |