| NPI | 1508003815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO217370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 2680) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2023-11-08 |