| NPI | 1376854117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-46681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL32894) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2022-05-26 |