| NPI | 1699775056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS20695) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H00056241) |
| 207Q00000X Family Medicine (Licence: DE C20008571) | |
| 207Q00000X Family Medicine (Licence: MD H0056241) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-04-23 |