| NPI | 1659320786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 077534) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 23906) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-07-21 |