| NPI | 1376529503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME88883) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME88883) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-04-14 |