| NPI | 1891819017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VI 1424) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME80298) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-05-16 |