| NPI | 1316975741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD23421) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD23421) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-01-29 |