| NPI | 1316250301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-01801) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL33037) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-09-30 |