| NPI | 1386847309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-01226) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 141429) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-03-08 |