| NPI | 1760506240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0009114) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0101059) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-07-09 |