| NPI | 1609982834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101267178) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CT 044468) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-10-23 |