| NPI | 1447459409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A-2249-19) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 12232) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-11-04 |