| NPI | 1457576548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0069836) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 001958) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-06-09 |