| NPI | 1801102959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD30452) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 30452) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2019-12-04 |