| NPI | 1659532935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS12961) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS014325) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2017-10-23 |