| NPI | 1588811624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME123090) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 26479) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-03-31 |