| NPI | 1346261468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8008) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A122703) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-05-22 |