| NPI | 1558637207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.46996) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 23852) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2023-08-09 |