| NPI | 1417046517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 61681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2012-01883) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-11-15 |