| NPI | 1447483821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D73774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 14250) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2021-11-22 |