| NPI | 1336378819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 21215) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 68571) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-02-13 |