| NPI | 1558370346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 20286) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2000-00804) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-01-16 |