| NPI | 1639282411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 19475) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD 1166688) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-08-08 |