| NPI | 1851561286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0086543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102206104) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2022-06-14 |