| NPI | 1548482425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2730) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4151) |
| 207Q00000X Family Medicine (Licence: MN 107285) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-07-21 |