| NPI | 1588006613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-42981) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R9631) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2018-03-17 |