| NPI | 1396947107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-46837) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 24451) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-09-16 |