| NPI | 1396706362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 3587) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R7044) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2024-04-04 |