| NPI | 1497859987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 11702) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 4104) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-11-27 |