| NPI | 1326277013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 133093) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 067701) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2025-01-13 |