| NPI | 1831506278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 29732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7312) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-01-03 |