| NPI | 1659314979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.39287) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 19322) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-07-21 |