| NPI | 1447458880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME99412) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN8344) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-05-07 |