| NPI | 1588863021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10147) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS10147) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2019-05-21 |