| NPI | 1841637139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 6935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 28117) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-01-08 |