| NPI | 1649438383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD39308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 39308) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2018-11-05 |