| NPI | 1427491992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 65568-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 65568) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2022-10-25 |