| NPI | 1336177781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 063037) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-01485) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-10-13 |