| NPI | 1689799405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 24327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD24327) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-04-24 |