| NPI | 1639188022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-03193) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 03193) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-08-28 |