| NPI | 1689992737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 32536) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101251550) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2023-12-27 |