| NPI | 1598967671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD DOO84686) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101241844) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-05-25 |