| NPI | 1932158912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0093856) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101240125) |
| 207Q00000X Family Medicine (Licence: LA 024465) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-01-23 |