| NPI | 1841241429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME111479) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0427283) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-31 |