| NPI | 1396000485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 64856) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 38700) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2024-07-29 |