| NPI | 1417353509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 008214) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13022) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2023-12-04 |