| NPI | 1629100870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-17284) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 27022) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-07-25 |