| NPI | 1609894898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD s0056261) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MD d0056261) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-09-13 |