| NPI | 1316938293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME82511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.024226) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-08-15 |