| NPI | 1497716377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 93527) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 025344) |
| 207Q00000X Family Medicine (Licence: AL 29849) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2023-11-28 |