| NPI | 1326425430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0098109) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0012978) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-07-12 |