| NPI | 1467426023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 055237) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 86074) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-05-18 |