| NPI | 1447512132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2015026151) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012016523) |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2022-02-17 |