| NPI | 1386767226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2010-01447) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 34139) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2021-03-16 |