| NPI | 1497105332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0013758) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP03787) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-07-29 |