| NPI | 1346401353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 24479) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 24479) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2024-10-10 |