| NPI | 1588976351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 069081) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL32747) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2022-01-10 |