| NPI | 1447474945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD126056) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 5415) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-08-29 |