| NPI | 1497709398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD16139) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-073929) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: MN 30207) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: MN 30207) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-04-26 |