| NPI | 1922234343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 7278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD436125) |
| 207Q00000X Family Medicine (Licence: CA A114469) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2020-09-02 |