| NPI | 1659593655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 28021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L-2683) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-01-17 |