| NPI | 1427284199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD156997) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR LL18427) |
| 207Q00000X Family Medicine (Licence: AZ 48152) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2019-03-13 |