| NPI | 1497782262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14098) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS007371L) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-11-27 |