| NPI | 1649288077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 060403) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 60403) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-03-06 |