| NPI | 1477880755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 25138) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL25138) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2020-03-13 |