| NPI | 1447484803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 24467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0075481) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2022-05-01 |