| NPI | 1376514836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 17599) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 17599) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2022-10-17 |