| NPI | 1891760856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 1442) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WV 1442) |
| 208D00000X General Practice (Licence: WV 1442) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2019-04-17 |