| NPI | 1376520387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 022774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA L22774) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2023-03-14 |