| NPI | 1851732853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-39342) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-42826) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2021-11-29 |