| NPI | 1538505094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0085927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD35858) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2018-08-29 |