| NPI | 1427282938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 201001851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD157636) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2022-02-14 |