| NPI | 1427344910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2011017042) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS12783) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-04-18 |