| NPI | 1972568723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VI 1377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME77806) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-10-02 |