| NPI | 1457518813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 91077) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 201000566) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-05-03 |