| NPI | 1578571188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-36773) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 22938) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-11-06 |