| NPI | 1619084308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 33323) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 049713) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-07-13 |