| NPI | 1316928344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 23395) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 053140) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2023-01-04 |