| NPI | 1568801470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS19293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RTP 006150) |
| 207Q00000X Family Medicine (Licence: TX Q9110) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-11-15 |