| NPI | 1457544868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 50121) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101244717) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-02-27 |