| NPI | 1881812691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 200250098NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID NP-683A) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-06-14 |