| NPI | 1841429321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015382) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA ot013169) |
| 207Q00000X Family Medicine (Licence: ND 12500) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2024-01-12 |