| NPI | 1851735385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 285892) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C7-0005404) |
| 207Q00000X Family Medicine (Licence: DE C2-0011638) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2021-07-19 |