| NPI | 1992882468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 37617) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101249046) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-06-29 |