| NPI | 1568419513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.30419) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 12913) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-06-03 |