| NPI | 1740441757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 92085) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL30834) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-09-28 |