| NPI | 1679702856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 33498) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2009017779) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-06-30 |