| NPI | 1518114685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10868) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 68155) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2023-02-20 |