| NPI | 1396979118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 23746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 54952) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2023-03-30 |