| NPI | 1720380231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 33856) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2020-05-05 |