| NPI | 1588648547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D84546) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C10003960) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-03-20 |