| NPI | 1952574840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D79319) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 234842) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2023-08-29 |