| NPI | 1982874053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 061839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.29231) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2022-10-12 |