| NPI | 1356312458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 113087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO MD 113087) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2022-10-24 |