| NPI | 1932171337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME67444) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0067444) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2022-11-01 |