| NPI | 1942223623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9500434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 52578) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-03-23 |