| NPI | 1780821959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.29980) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L.2997) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2018-02-28 |