| NPI | 1487820817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0072423) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102205894) |
| 207Q00000X Family Medicine (Licence: DE C7-0003993) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2020-01-10 |