| NPI | 1881698546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 063343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA OS8157) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2023-05-02 |