| NPI | 1770546731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 007191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 3653) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-12-01 |