| NPI | 1659716587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.2392) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 078856) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2020-12-17 |