| NPI | 1649470717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 88494) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 30401) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-04-22 |