| NPI | 1396120127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD37523) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 8157) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2018-11-30 |