| NPI | 1336119437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301080419) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI HR080419) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2021-11-09 |