| NPI | 1326034406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 0095-01291) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9501291) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2024-06-04 |