| NPI | 1700828241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O0370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 0-0370) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-10-26 |