| NPI | 1477071082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS15174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL U04590) |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2019-07-01 |