| NPI | 1316966708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 101957) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME65818) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-12-06 |