| NPI | 1477676468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 32137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 062984) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-03-21 |