| NPI | 1558551432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-17565) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.203944) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2021-05-17 |