| NPI | 1689801045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D84196) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116021396) |
| 207Q00000X Family Medicine (Licence: VA 0101256260) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2024-12-05 |