| NPI | 1346270865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 4107) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301066122) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-09-03 |