| NPI | 1366468639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD153881) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD153861) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-11-18 |