| NPI | 1346258951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD36262) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 36262) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-11-05 |