| NPI | 1942515531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD34472) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 067314) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2023-02-09 |