| NPI | 1801087283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD151730) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL TRN10886) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2024-05-06 |