| NPI | 1558650044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0024363) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H77427) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2024-05-14 |