| NPI | 1346464286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D98223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC 210012247) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA C149537) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-01-08 |