| NPI | 1558301929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M5347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 49830) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-11-28 |