| NPI | 1487917571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101257974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116025062) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-10-20 |