| NPI | 1447695739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS17176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.1764) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-10-16 |