| NPI | 1912928912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 53901) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 053901) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2019-05-22 |