| NPI | 1437444155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-00781) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 33712) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2020-02-12 |