| NPI | 1477527489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK AK4211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 4211) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-09-28 |