| NPI | 1770706848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK MEDO6800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM DO2022-0130) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-05-23 |