| NPI | 1356608723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 080984) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 208096) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2024-02-01 |