| NPI | 1447318530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 50885-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200801614) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-07-03 |