| NPI | 1932239332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD37508) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-9260) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-04-17 |