| NPI | 1457571432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2005-01862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 39947) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-09-01 |