| NPI | 1942649785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 37804) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 86280) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2024-06-28 |