| NPI | 1831145440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME139500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C10007081) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-06-20 |