| NPI | 1295974335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 181120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI 14614) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2018-06-18 |