| NPI | 1295945830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0077073) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 44974) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-04-09 |