| NPI | 1598846826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-0503) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL-2146) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-03-04 |