| NPI | 1528263498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME119711) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 42939) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-11-07 |