| NPI | 1376833004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-02109) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG163451) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2024-06-20 |