| NPI | 1740752971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD AC002543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE LG-0035588) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |